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主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
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中国护理管理 ›› 2021, Vol. 21 ›› Issue (6): 828-832.doi: 10.3969/j.issn.1672-1756.2021.06.007

• 论著 • 上一篇    下一篇

联合谵妄预测模型在ICU患者中的应用价值研究

吴菲霞 陈香萍 庄一渝 周洪昌   

  1. 湖州师范学院护理学院,313000 浙江省湖州市(吴菲霞,周洪昌);浙江大学医学院附属邵逸夫医院重症医学科(陈香萍);护理部(庄一渝)
  • 出版日期:2021-06-15 发布日期:2021-06-15
  • 通讯作者: 庄一渝,硕士,主任护师,护理部主任,副院长,E-mail:zhuangyy@zju.edu.cn
  • 作者简介:吴菲霞,硕士,护师
  • 基金资助:
    浙江省基础公益研究计划项目(LGF20G030010)

Study on the application value of combined delirium prediction model in comprehensive ICU patients

WU Feixia, CHEN Xiangping, ZHUANG Yiyu, ZHOU Hongchang   

  1. School of Nursing, Huzhou University, Zhejiang province, Huzhou, 313000, China
  • Online:2021-06-15 Published:2021-06-15
  • Contact: E-mail:zhuangyy@zju.edu.cn

摘要: 目的:验证联合谵妄预测模型在ICU患者中谵妄预测的应用价值。方法:在重症信息系统中植入E-PRE-DELIRIC模型和PRE-DELIRIC模型,将两种模型整合形成联合谵妄预测模型,利用评估模型的统计学指标评价联合谵妄预测模型的性能。结果:联合谵妄预测模型的ROC曲线下面积为0.815,PRE-DELIRIC模型的ROC曲线下面积为0.800,E-PRE-DELIRIC模型的ROC曲线下面积为0.777,通过Z检验得出联合谵妄预测模型与E-PRE-DELIRIC模型和PRE-DELIRIC模型之间的效度具有统计学差异(P<0.05)。结论:由E-PRE-DELIRIC模型和PRE-DELIRIC模型整合形成的联合谵妄预测模型具有更好的预测价值,可以有效地筛选出谵妄的不同风险人群,为制定谵妄的分层管理措施提供重要参考依据。

关键词: 谵妄;预测模型;重症监护病房;E-PRE-DELIRIC模型;PRE-DELIRIC模型

Abstract: Objective: To explore the application value of the combined delirium prediction model in ICU patients. Methods: The E-PRE-DELIRIC model and PRE-DELIRIC model were implanted into the critical information system to integrate into a combined delirium prediction model. The performance of the combined delirium prediction model was evaluated using the statistical indicators of the evaluation model. Results: The area under the ROC curve of the combined delirium prediction model was 0.815, the area under the ROC curve of the PRE-DELIRIC model was 0.800, and the area under the ROC curve of the E-PRE-DELIRIC model was 0.777. The Z test showed that the validity of the combined delirium prediction model was statistically different from that of the E-PRE-DELIRIC model and the PRE-DELIRIC model (P<0.05). Conclusion: The combined delirium prediction model has a better prediction value, which can effectively screen out different risk groups of delirium, and provide an important reference for the delaminating management of delirium.

Key words: delirium; prediction model; Intensive Care Unit; E-PRE-DELIRIC model; PRE-DELIRIC model

中图分类号: 

  • R47